Received Apr 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | N/A | — | — |
Resident passed away on 4/16. Resident was on hospice and comfort care. Do not suspect that vaccine caused the death, but reporting to VAERS for compliance sake. Resident took her scheduled medication, vitals taken and were as follows: BP :139/72,HR, 90 BPM, oxygen SATS 98%,temperature 98.0 degrees Fahrenheit, and respirations 18 breadth per minute. she then went for PT .The writer was called by staff at 0936 while she was doing therapy. Writer found resident sitting on the wheelchair unresponsive with her mouth drooping to her right side, and assessed the resident EMS contacted at 0938,three nurses present and assessed the resident, vitals taken: Blood sugar 144 mg/dl, HR 50,oxygen sats 90 beats per minute unable to get blood pressure reading, and labored breathing noted. Resident helped in bed ,head of bed elevated and supplemental oxygen administered at 3 liters via nasal cannula. EMT found a heart rate of 10 at arrival, assessed her and then pronounced her dead at 0955.Husband present and stated that he had just talked to her. Nursing administration placed a call to county medical examiner's office for resident status update and the examiner evaluated the status and gave ok to release the body whenever family is done with giving their respects to the mortuary of family choosing.
Resident on hospice and declining. Not suspecting vaccine caused death, but reporting due to compliance sake.
AGE-RELATED OSTEOPOROSIS WITH CURRENT PATHOLOGICAL FRACTURE,, SUBSEQUENT ENCOUNTER FOR FRACTURE WITH ROUTINE HEALING(M80.00XD), PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BREAST(Z85.3), PURE HYPERCHOLESTEROLEMIA, (E78.00), ESSENTIAL (PRIMARY) HYPERTENSION(I10), OTHER FECAL ABNORMALITIES(R19.5), PERSONAL HISTORY OF PULMONARY EMBOLISM(Z86.711), WEDGE COMPRESSION FRACTURE OF T11-T12 VERTEBRA, SUBSEQUENT ENCOUNTER FOR FRACTURE WITH ROUTINE HEALING(S22.080D), INSOMNIA,(G47.00), DEPRESSION,(F32.A), LEGAL BLINDNESS, AS DEFINED (H54.8), DELIRIUM DUE TO KNOWN PHYSIOLOGICAL CONDITION(F05), CEREBRAL ATHEROSCLEROSIS(I67.2), ADULT FAILURE TO THRIVE (R62.7), DEMENTIA, UNSPECIFIED SEVERITY, WITHOUT BEHAVIORAL DISTURBANCE, PSYCHOTIC DISTURBANCE, MOOD DISTURBANCE, AND ANXIETY(F03.90), TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS(E11.9), NEED FOR ASSISTANCE WITH PERSONAL CARE(Z74.1), FALL, SUBSEQUENT ENCOUNTER(W19.XXXD), ENCOUNTER FOR EXAMINATION FOR ADMISSION TO RESIDENTIAL INSTITUTION(Z02.2), UNSTEADINESS ON FEET(R26.81), WEAKNESS(R53.1), DIFFICULTY IN WALKING, NOT ELSEWHERE CLASSIFIED(R26.2), MUSCLE WEAKNESS (GENERALIZED)(M62.81)
glucerna, acetaminophen, metoprolol, losartan potassium, fish oil, aspirin, mirtazapine, melatonin,
none
n/a